| NPI | 1427120369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE I Pharmacist 620-635-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2019-06-16 |